Provider Demographics
NPI:1760371181
Name:HASKELL, TRISHA (RN)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:HASKELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:
Other - Last Name:DIETZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 1612
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-8612
Mailing Address - Country:US
Mailing Address - Phone:620-805-4809
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1612
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-8612
Practice Address - Country:US
Practice Address - Phone:620-805-4809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-118924-031163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse